Drawing Upon the Strengths of Couples in the Treatment of Chronic Drug Addiction

Abstract

This paper examines chronic drug addiction from a systemic perspective, using couples as the major unit of attention to be worked with in therapy. This dyadic relationship is highlighted in that (1) many of the addicts studied were involved with a significant other, in addition to the families of origin; and (2) this relationship is viewed as a source of strength which is available to the therapist, in addressing the addiction. The couple is seen as a system which has joined together in an attempt to individuate from the families of origin and master the launching phase of family development. However, the couple's drug consumption and related problems involve their extended families in their plight. This often distracts and consequently protects the larger ecosystem from the stressful demands of a developmental transition. The structural/strategic perspective (Fisch, et al., 1982; Haley, 1973, 1976; Madanes, 1981; Minuchin, 1981; Selvini-Palazwli et al., 1978; and Stanton, 1981, 1982) is utilized as a means of understanding this contextual dilemma for the couple and their extended families. The model provides a focus for changing dysfunctional sequences between the families of origin and the couple. In addition, it will provide strategies for changing sequences between partners which activate the addict's vulnerability to drug use.